Organization Active NPI

Kinder Love Home

  • Community/Behavioral Health Agency
  • Durham, NC
National Provider Identifier
1740411685
Registry record updated Jul 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
KINDER LOVE HOME
Practice address
2310 S Miami Blvd
Suite 140
Durham, NC 27703-5798
Phone
(919) 544-9208
NPI assigned
Jul 27, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Tametka Blount Pittman
Title
President
Phone
(919) 454-7761

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

2310 S Miami Blvd
Suite 140
Durham, NC 27703-5798

Mailing address

2310 S Miami Blvd
Suite 140
Durham, NC 27703-5798
Phone (919) 544-9208

Other identifiers 1

IdentifierTypeStateIssuer
6604163MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Kinder Love Home3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1248652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248652800000",
    "number": "1740411685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2310 S MIAMI BLVD",
            "address_2": "SUITE 140",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277035798",
            "telephone_number": "919-544-9208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2310 S MIAMI BLVD",
            "address_2": "SUITE 140",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277035798",
            "telephone_number": "919-544-9208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINDER LOVE HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-27",
        "last_updated": "2009-07-27",
        "status": "A",
        "authorized_official_last_name": "PITTMAN",
        "authorized_official_first_name": "TAMETKA",
        "authorized_official_middle_name": "BLOUNT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-454-7761",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6604163",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.